ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who has had a pudendal nerve block.
Question 1 of 5
The nurse should monitor which of the following findings has an adverse effect?
Correct Answer: B
Rationale: A pudendal nerve block numbs the perineum, reducing the ability to bear down, which can complicate delivery. Fetal bradycardia, hypertension, and hyperstimulation are not typical adverse effects.
Extract:
A nurse is admitting a client who is at 38 weeks of gestation following a spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Exerting upward pressure relieves umbilical cord compression, reducing fetal distress risk until further intervention. Catheters, oxytocin, or lateral positioning do not address immediate cord prolapse.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that informed consent is obtained before administering any medication or procedure is a crucial nursing responsibility. Informed consent ensures that the client is fully aware of the risks, benefits, and alternatives, and gives permission for the procedure to take place. Placing the client in a semi-Fowler's position is not necessary, as it does not enhance the medication's effectiveness. Instructing the client to avoid urinary elimination is inappropriate and could cause discomfort. Allowing the medication to reach room temperature is not required for dinoprostone inserts per standard protocols.
Extract:
A nurse is caring for a client who has had a pudendal nerve block.
Question 4 of 5
The nurse should monitor which of the following findings has an adverse effect?
Correct Answer: B
Rationale: A pudendal nerve block numbs the perineum, reducing the ability to bear down, which can complicate delivery. Fetal bradycardia, hypertension, and hyperstimulation are not typical adverse effects.
Extract:
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Decreased activity level over the last 12 hr. Abdominal distention. Three bloody stools over the last 4 hr. Superficial rash on the abdominal wall. Light palpation of the abdomen leads to fist clenching, thrashing, and crying.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Inserting an orogastric tube decompresses the gastrointestinal tract, addressing abdominal distention and bloody stools, which suggest a serious condition like necrotizing enterocolitis. Measuring circumference, iron formula, or nitric oxide do not address the acute issue.